187024 South Los Angeles breast health promotion project

Tuesday, October 28, 2008: 8:45 AM

José L. Calderón, MD , Health Professions Division, Nova Southeastern Univerisity, Fort Lauderdale, FL
The aim of the South Los Angeles Breast Health Promotion Project was to evaluate a novel educational intervention to promote Positive Breast Health Behaviors (PBHB) among Latinas residing in south Los Angeles. The study was designed to: 1) test the efficacy of the educational intervention at enhancing breast health literacy and promoting PBHB at three and six months from baseline in the intervention group, 2) test the efficacy of the interview component as measured by self-reported PBHB at three months after baseline for the control group, and 3) test the instructional component as measured by self-reported PBHB in the control group six months after receiving the instructional component. The educational intervention was comprised of two components: an interview component (survey and focus group discussion) and an instructional component (animated video on breast cancer and breast self-exam).

The Breast Health Questionnaire (BHQ), described as having been tested psychometrically in Spanish was found to be inappropriate by bilingual doctors from three Latino subgroups. A new survey, the Breast Health Promotion Survey, was developed for this study and will be psychometrically tested. Videos on breast cancer were evaluated and considered offensive and embarrassing by women from six cultural groups. In response, an animated video on breast cancer was produced and found to be culturally appropriate, non-threatening and inoffensive.

Findings indicated that educational materials and instruments marketed as culturally appropriate must be evaluated before use in diverse populations. Labeling these materials as culturally and linguistically appropriate does not necessarily mean this is so.


Learning Objectives:
1. Describe the outcomes of an evaluation of a novel educational intervention to promote Positive Breast Health Behaviors among Latinas residing in south Los Angeles. 2. Discuss policy implications for promoting positive breast health behaviors among Latinas.

Keywords: Access to Health Care, Breast Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Expertise in research and teaching in the area of cross-cultural studies with a concentration in health communication and cultural diversity-competence. Experienced in community-based participatory methods, survey research with a concentration on developing cross-culturally valid surveys, and qualitative research and data analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.